Concerns After Vitreous Floaters and Retinal Laser Surgery: What to Know - Ophthalmology

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Some issues after laser surgery for floaters and retinal tears?


Hello doctor, I have vitreous floaters in both eyes.
I have undergone retinal laser surgery on my left eye, but not on my right eye.
It has been a month since the surgery, but I just accidentally fell while putting on my pants, and my head did not hit the ground.
Will this cause another hole in my retina? Is there a risk that my right eye could also develop a hole? Should I go back to the clinic for an examination immediately?

Yang, 20~29 year old female. Ask Date: 2023/10/23

Dr. He Jianxian reply Ophthalmology


Hello Mr.
Yang: If you have any discomfort or concerns, it is advisable to return for a follow-up appointment with your attending physician for an examination.
Director He Jianxian, Ophthalmology, Nantou Hospital.

Reply Date: 2023/10/23

More Info


After undergoing retinal laser surgery for vitreous floaters, it's understandable to have concerns about potential complications, especially after an incident like a fall. Here’s a comprehensive overview of what you should know regarding your situation.

Firstly, it's important to recognize that retinal laser surgery is typically performed to address issues such as retinal tears or detachments, which can be caused by vitreous changes. The laser creates a barrier that helps to seal the retina and prevent further complications. If you have had this procedure on your left eye, it is crucial to monitor any changes in your vision closely.

Regarding your recent fall, if you did not hit your head and only experienced a minor tumble, the risk of causing a new retinal tear or detachment is relatively low. However, any sudden impact or trauma to the eye area can potentially lead to complications, especially if there are pre-existing conditions like vitreous floaters or if you have had previous retinal surgery.
Here are some signs and symptoms to watch for after your fall:
1. Sudden Increase in Floaters: If you notice a sudden increase in the number of floaters or if they change in appearance, this could indicate a problem.

2. Flashes of Light: Experiencing new flashes of light (photopsia) can be a sign of retinal irritation or a tear.

3. Blurred or Distorted Vision: Any sudden changes in your vision, such as blurriness or distortion, should be taken seriously.

4. Shadow or Curtain Effect: If you notice a shadow or curtain-like effect over your vision, this could indicate a retinal detachment.

If you experience any of these symptoms, it is advisable to seek immediate medical attention. Even if you feel fine, it’s better to err on the side of caution, especially after a fall.

In terms of your right eye, which has not undergone surgery, the risk of developing a retinal tear or detachment is not directly related to the fall unless there is a pre-existing condition. However, if you have a history of vitreous floaters or other retinal issues, it’s wise to remain vigilant.

As for follow-up care, if you have any concerns or if you notice any of the symptoms mentioned above, it would be prudent to schedule a follow-up appointment with your ophthalmologist. They can perform a thorough examination, including a dilated fundus exam, to assess the health of both your eyes and ensure that there are no new issues arising from the fall.

In summary, while a minor fall may not necessarily lead to complications, it’s essential to monitor your vision closely and consult with your eye care professional if you have any concerns. Regular check-ups and being proactive about your eye health can help prevent serious issues and ensure that any potential problems are addressed promptly.

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